Director, Provider Account Management

Description

The Why Behind Wellvana: 

The healthcare system isn’t designed for health. We’re designed to change that. We’re Wellvana, and we help doctors deliver life-changing healthcare. 

Through our elevated value-based care programs, we’re revitalizing an antiquated system that’s far too long relied on misaligned incentives that reward quantity of care not the quality of it. 

Our enlightened approach—covering everything from care coordination to clinical documentation education to marketing— ties the healthy outcomes of patients directly to shared savings for primary care providers, health systems and payors. 

Providers in our curated network keep their independence, reduce their administrative headaches, and spend more time with patients. Patients, in turn, get an elevated experience with coordinated care between appointments that is nothing short of life-changing. 

Named a 2024 "Best in Business" and 2023 "Best Place to Work" by Nashville Business Journal, we’re one of the fastest-growing healthcare companies in America because what we do works. This is the way medicine is meant to be. 

Clarity on the Role:

We are seeking a Director, Provider Account Management for Key Accounts to manage external relationships with affiliated primary care practices. Reporting to the Senior Director, Provider Account Management for Key Accounts, the Director, Provider Account Management for Key Accounts will manage the P&L performance for assigned Key Account affiliated primary care practices. This leader is responsible for the successful onboarding and implementation of all assigned practices along with ongoing account management to achieve stated objectives and key metrics. This position requires a leader with strong knowledge of physician practices and operations to effectively build and manage relationships. This leader must be able to successfully motivate and hold internal teams and Key Account practices accountable to efficiently deliver priority initiatives, achieve performance targets and meet retention goals. You will need strong analytical skills to manage key business drivers and KPIs and must be able to clearly articulate the financial mechanics of value based care contracts. This role requires superior communication skills to interact with internal and external team members at all levels and to effectively communicate provider feedback, perspectives and insights about future needs and growth opportunities across Wellvana and to executive leadership. 

What's Expected:

• Strategy Development: Execute a comprehensive strategy to successfully deploy and manage Wellvana value based care initiatives with assigned Key Account affiliated primary care practice relationships
• Value Based Care Expertise: Collaborate with key stakeholders, including executive leadership, clinical documentation, analytics, finance, and clinical teams, to define and communicate the organization’s vision and goals for value based care
• Partnership Development: Foster and cultivate strategic partnerships with Key Account affiliated primary care practices to facilitate successful participation in value based care models. Collaborate with internal and external stakeholders to establish      mutually beneficial contractual agreements, and quality improvement initiatives. Ensure physician and practice partners are effectively utilizing Wellvana programs and services to optimize results
• Partner Onboarding and Implementation: Lead the development, implementation, and ongoing management of value-based care programs for physicians, ensuring compliance with regulatory requirements and contractual obligations. Oversee implementation plans with input from cross functional leaders, and external partners. Monitor implementation plans and track performance to key milestones
• P&L Ownership and Performance Management: Track and assess program effectiveness and outcomes. Provide guidance and support to physicians and clinical teams to optimize care delivery, enhance patient outcomes, and achieve performance targets in value-based care models. Oversee the implementation of care coordination and population health management      strategies to support the transition to value-based care
• Performance Monitoring and Reporting: Analyze performance data and provide regular reports to leadership, physicians, and other relevant stakeholders, highlighting progress, areas for improvement, and actionable insights. Identify opportunities for process optimization, cost reduction, and revenue enhancement within value-based care programs, leveraging data-driven insights and best practices
• Change Management and Physician Engagement: Drive organizational change efforts related to value-based care, including cultural shifts, process redesign, and the adoption of new care delivery models. Execute comprehensive physician engagement and  education programs to promote understanding, buy-in, and active participation in value-based care initiatives. 
• Collaboration and Leadership: Collaborate with cross-functional teams, including growth, clinical, operational, financial/actuarial, and constituent experience stakeholders, to drive the adoption of Wellvana services, solutions and new business models 
• Regulatory Compliance: Stay abreast of evolving regulatory requirements related to program offerings (Medicare Advantage, ACO REACH, etc), population health management and value-based care, ensuring compliance with relevant laws and regulations
• Growth Strategies: Support growth efforts in the region, working closely with business development partners to deliver reference clients
• Complete practice, or function, special projects as assigned by leadership

Requirements

• Integrity: The right way is the only way
• Dependability: You do what you say you’re going to do
• Advocacy: You fight for the best possible outcome for providers and their patients
• Clarity: You make it all understandable

Education & Experience

• Bachelors degree in finance, health care administration, or related field. Masters of Business Administration, Masters of Public Health, Masters of Health Administration preferred
• 5 years of work experience at payers, health systems, RCM, MSO or VBC related companies
• 5 years experience operating within an account management organization
• Experience managing a P&L and achieving performance targets
• Demonstrated expertise in account management and ability to influence external partners at all levels to deliver to stated objectives
• Experience in VBC programs including ACO/MA/commercial programs
• Strong knowledge of healthcare tools, platforms and solutions, including electronic health records (EHRs), revenue cycle management, and other relevant capabilities
• Ability to engage with external partners and clinical organizations to improve patient experience and navigation and facilitate better outcomes and overall health
• Strong problem-solving and critical thinking abilities
• Track record of driving successful initiatives and achieving measurable outcomes in population health management and value-based care
• Intense intellectual curiosity and an ability to view problems with a fresh perspective
• Strong ability to succinctly summarize research, data, insights into cohesive summaries for leadership consumption and decision making 
• Expertise with Microsoft Office applications (Word, Excel, Powerpoint, etc)
• Ability to learn department and job specific software solutions and programs
• High attention to detail and a high degree of accuracy
• Strong communication skills both written and oral
• Strong leadership skills with the ability to effectively deploy business strategies, status and emerging opportunities to achieve corresponding metrics, ROI and business value
• Ability to effectively collaborate with cross-functional teams and resources on a range of operational strategies and initiatives
• Ability to hold teams accountable to productivity, quality and financial targets
• Travel up to 50% of the time